<!-- include tpl=header -->
<div class="main" style="padding:10px;width:auto;">
	<form method="post" id="setsubmit" onsubmit="return false" class="am-form">
	<input type="hidden" name="country" id="country" value="{$rs.country ? $rs.country : '中国'}" />
	<div class="am-form-group">
	  <label for="fullname">收件人</label>
	  <input type="text" id="fullname" name="fullname" value="{$rs.fullname}" placeholder="填写收件人姓名">
	</div>
	<div class="am-form-group address">
		<label for="fullname">地址：</label>
		<div class="pca">{$pca_rs}</div>
		<input type="text" name="address" id="address" value="{$rs.address}" style="margin-top:3px;" />
	</div>
	<div class="am-form-group">
	  <label for="mobile">手机号码</label>
	  <input type="tel" id="mobile" name="mobile" value="{$rs.mobile}" placeholder="填写有效的手机号码"/>
	</div>
	<div class="am-form-group">
	  <label for="tel">固定电话</label>
	  <input type="tel" id="tel" name="tel" value="{$rs.tel}" placeholder="填写有效的固定电话，带上区号，示例：0755-12345678"/>
	</div>
	<div class="am-form-group">
	  <label for="email">邮箱 Email</label>
	  <input type="email" id="email" name="email" value="{$rs.email}" placeholder="用来接收订单提醒邮件，便于您及时了解订单状态" />
	</div>
	</form>
</div>
<!-- include tpl=footer -->